Individual
JACQUELINE DUARTE NOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
Mailing address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-43198
BACB
NJ
Enumeration date
08/25/2021
Last updated
08/25/2021
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